Urbanization, the social determinants of health ,health inequities, its challenges, and effects in health outcomes, are realities that government, and different stakeholders at various level must plan and address. The... [ view full abstract ]
Urbanization, the social determinants of health ,health inequities, its challenges, and effects in health outcomes, are realities that government, and different stakeholders at various level must plan and address. The objective of this analysis is to look into the performance level / current status of policy implementation , challenges encountered by stakeholders, lessons learned and possible strategic actions that could contribute in developing and enhancing urban health systems implementation. This includes programs and strategies, the planning tools and frameworks, and the capability building component.
Results of policy analysis on Urban Health Systems Development ( UHSD ) revealed that the policy is good , and a significant “agree “ response was obtained in the areas of relevance, quality, applicability, and comprehensiveness.
The policy was perceived as difficult to implement and major reasons cited are gaps on the “how “ of implementation mechanisms , lack of implementing rules and regulations, weak involvement of other stakeholders, structure, overlapping roles and responsibilities of key players, weak advocacy, and information dissemination, and the lack of monitoring tool.
Program Performance and perception on UHSD policy is good but need to review and improve on Healthy Cities Initiative since implementation is weak; no information dissemination on Environmentally Sustainable Healthy Urban Transport (ESHUT), policy adoption of Reaching the Urban Poor (RUP) Manual of Procedure, and integration of social determinants of health in the City Leadership and Governance Program ( CLGP ).
Recommended new strategies and programs to strengthen implementation includes Healthy Settings, Health in All Policy ( HiAP ), CLGP, and the City Health Systems Roadmap which integrate the social determinants of health indicators, and health inequity between the rich and the poor, which the Philippines is currently conducting some initiatives to strengthen leadership and governance in health.
Key words : Social determinants, health inequities, health systems roadmap.
VII. Urban health policies 7.1 Governance and policy frameworks 7.2 Health in all policies
